Inani elincane lokunyuka noma lokunciphisa le hormone kungaba yisibonakaliso
Udokotela wakho angasebenzisa amazinga akho we-hCG wegazi ukuze ahlolisise ukuthi uthola isisu.
Kodwa yiziphi izinombolo zalesi sivivinyo segazi okushoyo, futhi kusho ukuthini uma izilinganiso ze-serial ziwela noma uma zihluleka ukuphinda kabili? Iziphi ezinye izivivinyo ezingenziwa?
Iyini i-Gonadotropin ye-Chorionic (hCG) Yomuntu?
I-chorionic gonadotropin (hCG) i-hormone ekhiqizwa i-placenta ngesikhathi sokukhulelwa, futhi ukuhlola kwegazi kwe-hCG kulinganisa izinga le-hormone egazini lakho.
Kunezinhlobo ezimbili ezihlukene zokuhlolwa kwegazi le-hCG:
- Ukufaneleka (ukubuyisela impendulo yebo / ayikho mayelana nokuthi owesifazane une-hCG egazini lakhe)
- Ukulinganisa (ukubuyisela isilinganiso semali eqondile ye-hCG egazini)
Kungani Odokotela BekaHCG Izisindo Zegazi
Abanye odokotela bahlola amazinga e-hCG ekukhulelwe kokuqala njengengxenye evamile yokunakekelwa kokubeletha kwabo bonke abesifazane. Ngokuvamile kaningi, izivivinyo ze-hCG ezisetshenziselwa umchamo zisetshenziselwa ukuqinisekisa ukukhulelwa.
Odokotela ngokuvamile bayala ukuhlolwa kwegazi kwe-hCG kuphela lapho bedinga ulwazi oluthe xaxa mayelana nokuthi kwenzekani ekukhulelweni kwesiguli esithile. Lokhu kungase kwenzeke uma owesifazane enegazi lokubeletha, izimpawu zokukhulelwa komzimba, noma umlando wezokwelapha noma ubuhlungu obungasho ukukhulelwa kwe-ectopic.
Ukuhlolwa kwegazi kwe-hCG akudingi ukulungiselela noma ukuhlela okukhethekile, futhi akudingeki ukuba uzila ukudla ngaphambi kokuba uphethwe igazi lakho. Futhi, imiphumela akufanele ithinteke ngesikhathi sosuku othola igazi lakho noma inani lamanzi oyiphuza ngaphambi kokuhlolwa.
Lokhu kuyinzuzo yokusebenzisa i-hCG igazi lokuhlolwa kwegazi ngokuhlolwa kwe-hCG komchamo, okuphazamiseka ukuhlushwa komchamo wakho.
Kuyisihluthulelo sokuphawula ukuthi ngaphezu kokuqapha amazinga akho we-hCG, udokotela wakho angenza futhi i-ultrasound, kokubili ukusiza ukuthi unqume ukuthi ngabe unesisu futhi uqinisekise ukuthi awunayo i-ectopic pregnancy.
I-hCG ye-Serial Test
Isivivinyo esisodwa se-hCG singenziwa ukuze ubone ukuthi amazinga akho asezingeni elijwayelekile le-hCG yephuzu elithile ekukhulelweni kuyilapho izilinganiso ze-hCG ze-serial zenziwa ukubuka izikhathi ezingu-hCG zokuphindaphindiwe . Lokhu kunikeza udokotela wakho umbono wokuthi ngabe ukukhulelwa kwakho kuyaqhubeka yini noma cha.
Ngezilinganiso ze-hCG ze-serial, ukuhlolwa kwegazi kwe-hCG kuyadonsela izinsuku ezimbili kuya kwezintathu ngaphandle. Lokhu kungenxa yokuthi ngokuvamile, ekukhulelweni kokuqala, izinga le-hCG egazini lakho kabili njalo ezinsukwini ezimbili kuya kwezintathu.
Uma isikhathi sakho sokuphindaphindiwe se-hCG sihamba kancane kunalindelekile, noma uma sinciphisa isikhathi esingaphezulu, lokhu kungase kube uphawu lokuphumula noma ukukhulelwa kwe-ectopic. Khumbula ukuthi cishe cishe amaphesenti angu-15 okukhulelwa, isikhathi se-hCG sokuphindaphindiwe sihamba kancane kunalindelekile, futhi ukwenyuka okungavamile akusho ukuthi kunenkinga ngokukhulelwa kwakho.
Ngabe amazinga we-HCG amisa ukuphikisana?
Kubalulekile ukuphawula ukuthi isikhathi se-hCG sokuphindaphinda singaba ithuluzi elibalulekile ekukhulelweni kokuqala, kodwa njengoba ukhulelwe liqhubeka, isikhathi sokuphinda kabili siyancipha.
Ngamaviki ayisithupha kuya kwayisishiyagalombili ukubeletha (noma uma izinga lakho lidlula isikhathi sika-1 200 mIU / ml) isikhathi sokuphindaphinda kabili njalo kwezinsuku ezintathu, futhi ngemuva kokuthi izinga lifinyelele cishe ku-6,000 mIU / ml, isikhathi sokuphindaphindiwe senziwa njalo ezinsukwini ezine.
Ngesikhathi ufika amasonto ayisishiyagalombili kuya kwangu-11, izinga lakho le-hCG lizofinyeleleka phezulu.
Ngenkathi izikhathi ze-hCG eziphindwe kabili ziba yithembekile kancane esikhathini esiyi-trimester yokuqala, amanye amathuluzi afana ne-ultrasound yangaphambilini abaluleke kakhulu ekunqumeni isimo sokukhulelwa kwakho.
Lapho amazinga we-hCGPhakamisa ukuHlelwa komshado
Udokotela wakho ngumuntu ongcono kakhulu okukutshela ukuthi amazinga akho e-hCG asho ukuthini, ngoba amazinga ajwayelekile we-hCG ahluka kakhulu kunomuntu nomuntu, futhi amazinga we-hCG angashadile (ngisho namazinga aphansi we-hCG ) anganikeza ulwazi oluningi lokuthi ukukhulelwa kuyaqhubeka kanjani.
Udokotela wakho angaqhathanisa ulwazi olusuka kumiphumela yakho ye-hCG kolunye ulwazi emlandweni wakho wezokwelapha, njengokungathi unayo izimpawu zokukhulelwa komzimba noma imiphumela ye-ultrasound yokuqala, ukuze uthole ukuxilongwa.
Ngokuvamile, noma kunjalo, uma amazinga e-hCG ehla e-trimester yokuqala, kungenzeka ukuthi lokhu kuyisibonakaliso sokuphuma kwesisu. Ngakolunye uhlangothi, amazinga e-hCG akhuphuka kancane angawaphindanga kabili ezinsukwini ezimbili noma ezintathu ekukhulelwe kwangaphambili angase abe uphawu lwezinkinga, kodwa futhi angenzeka ngokukhulelwa okujwayelekile.
Okokugcina, kubalulekile ukuqonda ukuthi amazinga we-hCG angase aqhubeke kuze kube amasonto ambalwa emva kokukhulelwa kwesisu. Ngamanye amazwi, ungaqhubeka nokuthola umchamo omuhle noma izinga le-hCG elilinganayo ngisho nangemva kokukhipha isisu.
Lapho amazinga we-hCG Phakamisa ukukhulelwa kwe-Ectopic
Izinga le-hCG elincane elikhuphukayo, okungenani ekukhulelwe kokuqala, lingase libe uphawu lwe-ectopic pregnancy . Kusukela ukukhulelwa kwe-ectopic kungaba yingozi, udokotela wakho angase ancoma i-ultrasound yangaphakathi ukuze ifune izimpawu zokukhulelwa kwe-ectopic.
Uma izinga lakho le-hCG okungenani liyi-1,500 kuya ku-2,000 mIU / ml futhi isikhwama sokugqoka asibonwanga ekuqaleni kwe-ultrasound, kungenzeka ukuthi i-ectopic pregnancy ikhona. Njengoba abesifazane bengenayo izimpawu ngaphambi kokuphuka, ngokulandela ngokucophelela noma yiziphi izincomo mayelana namazinga we-hCG aphindaphindiwe nokuhlolwa kwe-ultrasound kubalulekile.
Izwi elivela ku-Verywell
Ukuqapha amazinga we-hCG eningi anganikeza ngolwazi oluwusizo ukuhlola ukuthi ulahlekelwa yini noma uthola ezinye izinkinga zokukhulelwa njenge-ectopic pregnancy.
Njengoba amazinga we-hCG ahlukahluka komunye nomuntu, noma kunjalo, amazinga we-serial ezinsukwini ezimbalwa ezahlukana anikeza umqondo ongcono ngesimo sokukhulelwa kwakho. Ngaphandle kwamazinga akho we-hCG, udokotela wakho uzosebenzisa olunye ulwazi olufana nanoma yiziphi izimpawu zomzimba ozizwayo kanye nemiphumela ye-ultrasound yokuqala ukucacisa ukuthi ngabe isisu esisodwa senzeke yini.
Ngesikhathi unamazinga akho we-hCG aqashwe ungase uzizwe ukhathazekile, futhi lokhu kuyaqondakala. Ekubhekaneni nalokhu okungaqiniseki, abesifazane abaningi abazi ukuthi kufanele bajabule ngokukhulelwa noma bahlukumezeke.
Ukwazi ukuthi kunzima kangakanani lokhu kungaba khona, kungase kube usizo ukubuza imibuzo yakho nodokotela bese ubuza ngezinyathelo ezilandelayo, ngakho-ke udlala indima enolwazi nesebenzayo kulokhu okwenzekayo ngokukhulelwa kwakho.
> Imithombo:
> Cunningham. Williams Obstetrics . McGraw-Hill, 2014. Phrinta.
> Cunningham FG et al. (2014). Williams Obstetrics. (Uhlelo lwe-24.). ENew York: Education McGraw-Hill.
> Seeber, B. Yikuphi i-hCG ye-serial engakutshela yona, futhi ayikwazi ukukutshela, mayelana nokukhulelwa kokuqala. Ukuzala nokuhlunga . 2012. 98 (5): 1074-7.
> Visconti, K., no-N. Zite. hCG ku-Ectopic Pregnancy. I-Obstetrics Clinic ne-Gynecology . 2012. 55 (2): 410-7.